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“She’s Mother Theresa meets MacGyver” says Doug Broeska President of the CliniCard while visiting Sassoon Hospital in Pune, India. “She should probably at least be nominated for the Nobel Prize in Medicine.”

That’s an impressive statement but also accurate when it comes to Dr. Aarti Kinikar, Head of Pediatrics at Sassoon Hospital in Pune, India (Pune is a city of nearly 10 million, just south of Mumbai, and Sassoon General Hospital is the biggest public hospital in the region). During the H1N1 Flu outbreak last year (2009-2010), Dr Kinikar was faced with a medical emergency seemingly out of all proportion to anyone’s ability to deal with it. Bodies were literally piling up outside of the hospital morgue and she feared that most of the young children and babies that were coming to Sassoon with severe breathing problems would be added to the growing pile. The hospital had only 4 working ventilators and was facing a steady flow of children to the pediatric ward that quickly swelled to a deluge of over 1200, all of whom were in severe respiratory crisis.

As the numbers of very sick children grew so did Dr. Kinikar’s resolve. There had to be way to create the bit of air flow needed to keep a child’s lungs breathing. “The best medication is sometimes oxygen, and even though the children had made it to the hospital, without it they might die right in front of you…that’s a helpless feeling for a doctor” said Kinikar. Motivated by equal parts of desperation and inspiration, Dr. Kinikar rigged a simple breathing tube device only with materials on hand. The PNC pressure device called a “nasal bubble CPAP device” (Continuous Positive Airway Pressure) miraculously worked for 85% of the children who were treated. Although bubble CPAP has been around for decades, the device she rigged was much less elaborate than the expensive tubing and valve configurations that are commercially available by the same name. “I was taking a risk,” Kinikar said. “I didn’t know whether people would back me using a technique which didn’t seem to have much scientific push.” As a result of her willingness to step outside of convention, an estimated 500 childrens’ lives were saved at Sassoon Hospital because her fast thinking in a time of extreme crisis. A few dollars worth of plastic tubing had taken the place of much more expensive devices which weren’t available to the hospital at the height of the emergency anyway. http://www.ccsviclinic.ca/ . Continued in the next comment.. Full Article also available here.. http://ccsviclinic.ca/?p=793

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